原创研究:探索前线护士对智商参与和智商能力的自我认知水平
Dana Tschannen1, Catherine Alexander, Ghosh Bidisha
1Dana Tschannen is a clinical professor at the University of Michigan School of Nursing in Ann Arbor, where Bidisha Ghosh is the lead statistician in the School of Nursing's Applied Biostatistics Laboratory. Catherine Alexander is a chief nurse scientist at the Veterans Affairs (VA) Connecticut Healthcare System, New Haven; at the time of this study, she was a quality management performance improvement analyst at the San Francisco VA Medical Center. Cindy Zellefrow is director of the Academic Core at the Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Healthcare, The Ohio State University, Columbus. Kerry A. Milner is a professor at Sacred Heart University's Susan L. Davis & Richard B. Henley College of Nursing, Fairfield, CT. Contact author: Dana Tschannen, djvs@med.umich.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise.
护士在质量改进 (QI) 中的参与度有限,前线护士的参与度和能力低于领导者. 提高QI技能对于提高护理质量至关重要.
科学领域:
- 医疗保健的质量 医疗保健的质量
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 护士参与质量改善 (QI) 工作对于高质量的患者护理至关重要.
- 关于前线护士参与QI计划的研究有限.
- 了解QI参与和能力对于改善医疗保健结果至关重要.
研究的目的:
- 评估和对比前线护士和护士领导者之间自我报告的QI参与度和能力水平.
- 在护理实践中识别QI知识,技能和态度的特定领域.
主要方法:
- 采用了横截面描述性研究设计.
- 护理质量改善实践 (NQuIP) 工具被用来衡量QI参与度和能力.
- 从66个医疗保健机构的前线护士和护士领导者的方便样本中收集了数据.
主要成果:
- 在6351名受访者中,只有52.5%的人表示参与了QI活动.
- 护士表现出高知识分数,但QI相关技能分数较低,特别是使用QI工具.
- 与前线护士相比,护士领导者在QI方面表现出明显更高的参与度和能力.
结论:
- 护士对QI的参与目前是有限的,可能是由于与QI相关的技能缺陷.
- 虽然护士拥有强大的智商知识,但他们的实践技能需要发展.
- 医疗保健领导者应该专注于提高护士在QI中的参与度,以实现卓越的患者结果.
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